Provider Demographics
NPI:1639482037
Name:HERMAN & HERMAN, PSC
Entity Type:Organization
Organization Name:HERMAN & HERMAN, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:HERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:859-233-1112
Mailing Address - Street 1:228 N UPPER ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40507-1017
Mailing Address - Country:US
Mailing Address - Phone:859-233-1112
Mailing Address - Fax:859-254-3525
Practice Address - Street 1:228 N UPPER ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40507-1017
Practice Address - Country:US
Practice Address - Phone:859-233-1112
Practice Address - Fax:859-254-3525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-14
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental